Knee sprain

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A sprain, ligament strain or twist of the knee is an injury to the ligaments of the knee due to overstretching, excessive stretching, twisting or tearing.

It occurs when the joint area is affected by mechanical action (the demand of a rough movement, excessive opening or closing of the joint, unnatural movement) or by violence (fall, blow).

It causes inflammation and pain (initially intense, then diminishing), leading to functional inability and even temporary paralysis of the knee.

It is diagnosed by a medical history, physical examination of the knee and imaging tests such as x-rays and/or MRI.

Depending on the type of sprain, treatment may be conservative (rest, painkillers) or surgical.

Bibliographic references
  1. Carlton J Covey, MD, Robert H Shmerling, MD. Approach to the adult with unspecified knee pain. Uptodate. Feb 07, 2017.
  2. Nguyen US, Zhang Y, Zhu Y, et al. Increasing prevalence of knee pain and symptomatic knee osteoarthritis: survey and cohort data. Ann Intern Med 2011; 155:725.
  3. Razek AA, Fouda NS, Elmetwaley N, Elbogdady E. Sonography of the knee joint(). J Ultrasound 2009; 12:53.
  4. National Clinical Guideline Center. Osteoarthritis: care and management in adults. National Institute for Health and Clinical Excellence: Guidance, London 2014. http://www.ncbi.nlm.nih.gov/pubmed/25340227 (Accessed on September 24, 2016).
  5. Zhang W, Doherty M, Peat G, et al. EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis. Ann Rheum Dis 2010; 69:483.
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Symptoms

    Knee pain


    Knee pain after a snapping sound


    Joint stiffness


    Knee pain increase when bearing weight


    Bruise on the knee

Symptoms to watch out for

Pain that doesn't subside with analgesics
Fever (temperature higher than 38 ºC)

Self-care

Consume over-the-counter pain relievers or anti-inflammatories.
Relative rest, rest until symptoms subside.
Apply local cold in the area of the lesion 3 times a day to reduce inflammation.
Avoid doing abrupt movements.